Joel Brandon Brock, NP-C, DC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

774910 Issued in TX

Practice address

105 Decker CT
Suite 120
Irving, TX 75062-2767

Phone

(214) 771-8885

Fax

(972) 771-1648

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brain Synergy Institute, LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Farmers Branch, TX
  • NPI 1477084788
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1720125305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N HOUSTON ST APT 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752197633",
            "telephone_number": "214-728-4314",
            "fax_number": "972-812-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DECKER CT",
            "address_2": "SUITE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622767",
            "telephone_number": "214-771-8885",
            "fax_number": "972-771-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JOEL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "NP-C, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8026",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "8026",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8026",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "774910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brielle Brion, PA-C
• Heather Ashley Bristow, D. D. S.
• Margaret Broadhead, DNP, CRNA
• Preston Broadhead, DNP, CRNA
• Adam C Brock, FNP
• Shalena Chantel Brock, LMSW
• Ted P. Bronson, M.D.
• Meredith Broussard Sorokwasz, M.A., CCC-SLP
• Emma L Broussard, NONE
• Rebecca Broussard

• Family Health Clinical Nurse Specialist in Irving, TX
• Providers in Irving, TX by specialty
• Family Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.